Please use this identifier to cite or link to this item:
https://hdl.handle.net/20.500.14279/3784
Title: | Determinants of procedural pain intensity in the intensive care unit: the Europain® study | Authors: | Puntillo, Kathleen A. Max, Adeline Timsit, Jean-Francois Vignoud, Lucile Chanques, Gerald Gemma, Robleda Roche-Campo, Ferran Mancebo, Jordi Divatia, Jigeeshu V. Soares, Marcio Ionescu, Daniela C. Grintescu, Ioana M. Vasiliu, Irena L. Maggiore, Salvatore Maurizio Rusinova, Katerina Owczuk, Radoslaw Egerod, Ingrid Papathanassoglou, Elizabeth Kyranou, Maria Joynt, Gavin M. Burghi, Gaston Freebairn, Ross C. Ho, Kwok Kaarlola, Anne Gerritsen, Rik T. Kesecioglu, Jozef Sulaj, Miroslav M S Norrenberg, Michelle Benoit, Dominique D. Seha, Myriam S. G. Hennein, Akram Periera, Fernando J. Benbenishty, Julie Sarah Abroug, Fekri Aquilina, Andrew Monte, Julia R. C. An, Youzhong Azoulay, Elie |
Major Field of Science: | Medical and Health Sciences | Field Category: | Health Sciences | Keywords: | Symptom assessment;Analgesia;Prevention | Issue Date: | 1-Jan-2014 | Source: | American Journal of Respiratory and Critical Care Medicine, 2014, vol. 189, no. 1, pp. 39-47 | Volume: | 189 | Issue: | 1 | Start page: | 39 | End page: | 47 | Journal: | American Journal of Respiratory and Critical Care Medicine | Abstract: | Rationale:Intensive care unit (ICU) patients undergo several diagnostic and therapeutic procedures every day. The prevalence, intensity, and risk factors of pain related to these procedures are not well known. Objectives: To assess self-reported procedural pain intensity versus baseline pain, examine pain intensity differences across procedures, and identify risk factors for procedural pain intensity. Methods: Prospective, cross-sectional, multicenter, multinational study of pain intensity associated with 12 procedures. Data were obtained from 3,851 patients who underwent 4,812 procedures in 192 ICUs in 28 countries. Measurements andMain Results: Painintensity on a 0–10 numeric rating scale increased significantly from baseline pain during all procedures (P , 0.001). Chest tube removal, wound drain removal, and arterial line insertion were the three most painful procedures, with median pain scores of 5 (3–7), 4.5 (2–7), and 4 (2–6), respectively. By multivariate analysis, risk factors independently associated with greater procedural pain intensity were the specific procedure; opioid administration specifically for the procedure; preprocedural pain intensity; preprocedural pain distress; intensity of the worst pain on the same day, before the procedure; and procedure not performed by a nurse. A significant ICU effect was observed, with no visible effect of country because of its absorption by the ICU effect. Some of the risk factors became nonsignificant when each procedure was examined separately. Conclusions: Knowledge of risk factors for greater procedural pain intensity identified in this study may help clinicians select interventions that are needed to minimize procedural pain. Clinical trial registered with www.clinicaltrials.gov (NCT 01070082). | URI: | https://hdl.handle.net/20.500.14279/3784 | ISSN: | 15354970 | DOI: | 10.1164/rccm.201306-1174OC | Rights: | © American Thoracic Society | Type: | Article | Affiliation : | Peking University People’s Hospital University of California University of Paris-Diderot Hopital A. Michallon Institut Albert Bonniot Hopital Saint Eloi University of Montpellier Hospital de Sant Pau Tata Memorial Hospital Instituto Nacional de Cancer Iuliu Hatieganu University of Medicine and Pharmacy Clinical Emergency Hospital Universidad Michoacana de San First Faculty of Medicine of Charles University Medical University of Gdansk Copenhagen University Hospital Cyprus University of Technology Papageorgiou General Hospital Prince of Wales Hospital Hospital Maciel Health Directorate/General Army Staff Royal Perth Hospital Helsinki University Hospital Medical Centre Leeuwarden University Medical Center Utrecht University Hospital Martin Erasme Hospital Universite Libre de Bruxelles Spital Maennedorf Khoula Hospital Clinica Las Americas Hadassah Hebrew University Medical Center CHU F.Bourguiba Mater Dei Hospital Hospital Santo Antonio |
Publication Type: | Peer Reviewed |
Appears in Collections: | Άρθρα/Articles |
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